Workers Compensation Claims Team Lead | Long Beach, CA

Sedgwick•Long Beach, CA

4d•Onsite

About The Position

The Workers Compensation Claims Team Lead oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. The role manages workloads, provides training, monitors claim activities, and offers technical and jurisdictional guidance on claims adjudication. It also maintains regular diaries, particularly for complex or high-exposure cases, supports client relationships, and helps identify opportunities to improve processes.

Requirements

Six years of claims experience, or an equivalent combination of education and experience, including two years of claims supervisor experience.
High school diploma or GED.
California workers compensation claim handling experience.
SIP Certified.

Nice To Haves

Bachelor's degree from an accredited college or university.
Professional certification applicable to the line of business.

Responsibilities

Supervise multiple teams of examiners and technical operations colleagues, delegate duties, and ensure proper licensing and documentation standards.
Provide technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
Act as a second-level appeal authority for client and claimant issues and implement final decisions.
Identify trends, issues, and process-improvement opportunities; advise management and coordinate related projects.
Monitor third-party and sensitive claims, including litigated and vocational rehabilitation cases.
Maintain professional client relationships and provide recommendations and written summaries as needed.
Ensure examiners accurately code and document claims.
Manage workloads, provide training, monitor individual claim activities, and maintain regular diaries for complex or high-exposure cases.